Individual
MR. FRIDAY TSOSIE BARTHULI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(505) 913-3270
Mailing address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
10059074
NM
Other
Enumeration date
08/22/2014
Last updated
08/22/2014
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